Provider Demographics
NPI:1356454953
Name:SETLOW, PATRICIA D (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:D
Last Name:SETLOW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:DANAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2409 BRIARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4301
Mailing Address - Country:US
Mailing Address - Phone:410-466-4105
Mailing Address - Fax:410-367-0780
Practice Address - Street 1:501 E CHASE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4206
Practice Address - Country:US
Practice Address - Phone:410-528-8747
Practice Address - Fax:410-528-8748
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR031851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD157562ZDVXMedicare UPIN